Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $28.41 / $85.22	Facility		$24.49	$28.41	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.43 / $26.90	Professional		$19.00	$23.43	$26.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $51.56 / $70.33	Facility		$31.83	$51.56	$70.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.72 / $35.25	Professional		$14.03	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $48.13 / $51.91	Professional		$19.59	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $21.19 / $40.85	Facility		$10.38	$21.19	$40.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $22.53 / $28.21	Professional		$19.59	$22.53	$28.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $21.55 / $43.24	Facility		$19.59	$21.55	$43.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $23.70 / $56.81	Facility		$20.90	$23.70	$56.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $23.51 / $32.08	Professional		$19.59	$23.51	$32.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $60.45 / $80.93	Facility		$38.20	$60.45	$80.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $24.97 / $48.41	Professional		$17.67	$24.97	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $23.51	Professional		$8.23	$8.23	$23.51